Active NPI
Northern Calif Childrens Hematology & Oncology Med GRP Inc
- Pediatric Hematology & Oncology Physician
- Sacramento, CA
National Provider Identifier
1700943131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- Legal business name
- NORTHERN CALIF CHILDRENS HEMATOLOGY & ONCOLOGY MED GRP INC
- Practice address
- 5030 J Street
Suite 200
Sacramento, CA 95819 - Phone
- (906) 469-9337
- Fax
- (209) 577-1509
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Yung Yim, MD
- Title
- President
- Phone
- (916) 469-9337
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | Primary |
Addresses
Primary practice location
5030 J Street
Suite 200
Sacramento, CA 95819
Mailing address
PO Box 906
Salida, CA 95368
Phone (209) 577-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0062830 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
4120 Prescott Rd
Modesto, CA 95356
Phone (209) 544-7300
5030 J St
Ste 200
Sacramento, CA 95819
Phone (916) 451-8001
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Hematology & Oncology Physician
- Sacramento, CA
- NPI 1083701007
Pediatric Hematology-Oncology
-
- Neurological Surgery Physician
- Oakland, CA
- NPI 1972590354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438560000000",
"number": "1700943131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 906",
"city": "SALIDA",
"state": "CA",
"postal_code": "95368",
"telephone_number": "209-577-9900",
"fax_number": "209-577-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 J STREET",
"address_2": "SUITE 200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95819",
"telephone_number": "906-469-9337",
"fax_number": "209-577-1509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN CALIF CHILDRENS HEMATOLOGY & ONCOLOGY MED GRP INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2015-08-03",
"status": "A",
"authorized_official_last_name": "YIM",
"authorized_official_first_name": "YUNG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-469-9337",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0062830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
- Candice Marie North, M.D.
- Lisa North
- Teresa Eileen North, P.A.-C
- Angelica Dontrell Northcross-Jenkins
- Jasalynne Northcross
- Northern California Advanced Surgery Center LP
- Northern California Cardiology Associates Medical Group Inc
- Northern California Mental Health LLC
- Northern California Neurological Surgeons
- Northern California Orthopaedic Associates Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.